دورية أكاديمية
Combined Endoscopic Endonasal and Transpalatal Repair of Congenital Anterior Cranial Fossa Agenesis.
| العنوان: | Combined Endoscopic Endonasal and Transpalatal Repair of Congenital Anterior Cranial Fossa Agenesis. |
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| المؤلفون: | Yang N; Department of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital-Columbia University Irving Medical Center, New York, New York, USA., Feldstein NA; Department of Neurologic Surgery, Neurological Institute of New York-Columbia University Medical Center, New York, New York, USA., Gudis DA; Department of Otolaryngology-Head and Neck Surgery, New York Presbyterian Hospital-Columbia University Irving Medical Center, New York, New York, USA.; Department of Neurologic Surgery, Neurological Institute of New York-Columbia University Medical Center, New York, New York, USA. |
| المصدر: | Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2023 Jun 01; Vol. 24 (6), pp. e402-e406. Date of Electronic Publication: 2023 Apr 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 101635417 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2332-4260 (Electronic) Linking ISSN: 23324252 NLM ISO Abbreviation: Oper Neurosurg (Hagerstown) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : [Philadelphia] : Lippincott Williams & Wilkins, Inc. Original Publication: Hagerstown, MD: Lippincott, Williams & Wilkins, 2014- |
| مواضيع طبية MeSH: | Cranial Fossa, Anterior*/surgery , Meningocele*/diagnostic imaging , Meningocele*/surgery , Meningocele*/pathology, Child ; Humans ; Encephalocele/diagnostic imaging ; Encephalocele/surgery ; Skull Base/diagnostic imaging ; Skull Base/surgery ; Endoscopy/methods |
| مستخلص: | Background: Congenital basal meningoceles and encephaloceles are rare pathologies that may present in isolation or with characteristic-associated clinical features. Rarely, children with congenital midline defects may present with massive encephaloceles secondary to anterior cranial fossa agenesis. Traditionally, transcranial approaches with frontal craniotomies were used to reduce the herniated contents and repair the skull base defect. However, high rates of morbidity and mortality associated with craniotomies have favored the development and adoption of less-invasive techniques. Objective: To present a novel technique for combined endoscopic endonasal and transpalatal repair of a giant basal meningocele through an extensive sphenoethmoidal skull base defect. Methods: A representative case of congenital anterior cranial fossa agenesis with a giant meningocele was selected. Clinical and radiological presentations were reviewed, and the intraoperative surgical technique was documented and recorded. Results: A surgical video highlighting each surgical step was included to complement the description of the technique. The surgical outcome from the selected case is also presented. Conclusion: This report describes a combined endoscopic endonasal and transpalatal approach to repair an extensive anterior skull base defect with herniation of intracranial content. This technique capitalizes on the advantages of each approach to address this complex pathology. (Copyright © Congress of Neurological Surgeons 2023. All rights reserved.) |
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| تواريخ الأحداث: | Date Created: 20230418 Date Completed: 20230517 Latest Revision: 20231017 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1227/ons.0000000000000636 |
| PMID: | 37071753 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2332-4260 |
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| DOI: | 10.1227/ons.0000000000000636 |